13th Edition Bickley Test Bank latest
updated
Bates’ Guide To Physical Examination and History Taking
13th Edition Bickley Test Bank
CHAPTER 1 Foundations for A A
Clinical Proficiency MULTIPLE A A
CHOICE
When considering priority setting of problems, the
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Anurse keeps in mind that second-
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level priority problems include which of these aspe
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cts?
After completing an initial assessment of a patient, the
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nurse has charted that his respirations are eupneic and h
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is pulse is 58 beats per minute. These types of data woul
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d be:
A
Objective.
.
Reflective.
.
Subjective.
.
Introspective.
.
ANS: A A
Objective data are what the health professional observes b
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y inspecting, percussing, palpating, and auscultating during
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A the physical examination. Subjective data is what the pers
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on says about him or herself during history
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,taking. The terms reflective and introspective are not
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used to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF:
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p. 2
A
MSC: Client Needs: Safe and Effective Care Environment:
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Management of Care A A
A patient tells the nurse that he is very nervous, is
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nauseated, and feels hot. These types of data would
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be:
Objective.
.
Reflective.
.
Subjective.
.
Introspective.
.
ANS: C A
Subjective data are what the person says about him or he
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rself during history taking. Objective data are what the he
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alth professional observes by inspecting, percussing, pal
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pating, and A
auscultating during the physical examination. The terms
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reflective and introspective are not used
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, Bates’ Guide To Physical Examination and History Taking 13th
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Edition Bickley Test Bank latest updated A A A A A
to describe data.
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DIF: Cognitive Level: Understanding (Comprehension) REF:
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p. 2
A
MSC: Client Needs: Safe and Effective Care Environment:
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Management of Care A A
The patients record, laboratory studies, objective d
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ata, and subjective data combine to form the:
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Data base. A
.
Admitting data. A
.
Financial statement. A
.
Discharge summary. A
.
ANS: A A
Together with the patients record and laboratory studies,
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the objective and subjective data form the data base. The
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other items are not part of the patients record, laboratory
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studies, or data. A A
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment:
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Management of Care A A
When listening to a patients breath sounds, the nurse
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is unsure of a sound that is heard. The nurses next acti
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on should be to:
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, Bates’ Guide To Physical Examination and History Taking 13th
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Edition Bickley Test Bank latest updated A A A A A
Immediately notify the patients physician. A A A A
.
Document the sound exactly as it was heard.
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.
Validate the data by asking a coworker to listen to
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.the breath sounds.
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Assess again in 20 minutes to note whether the
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. sound is still present.
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ANS: C A
When unsure of a sound heard while listening to a patients
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breath sounds, the nurse validates the data to ensure accur
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acy. If the nurse has less experience in an area, then he or s
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he asks an expert to listen.
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DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
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MSC: Client Needs: Safe and Effective Care Environment:
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Management of Care A A
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